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​NEED A PRESCRIPTION RENEWAL​

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***IMPORTANT***

PLEASE READ AND SUBMIT WITH YOUR REQUEST. ALL OTHER REQUESTS WILL NOT BE REVIEWED IF MISSING INFORMATION

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  • ​If you have not seen your family physician for some time you may be required to still come in for an appointment

  • Fax prescription renewals are an uninsured service and there will be a fee per medication renewed, unless you have a PS365 annual plan

  • When submitting a request online it will be implied that you are agreeing to pay the fee, if your physician renews it. 

  • You will receive an email from Patient Serv with the invoice and payment is due upon receipt.  You may also want to consider signing up for PS365 through Patient Serv for an annual plan if this makes sense for you.  

  • Please list the name of the prescriptions you are requesting for renewal, along with the dose and frequency in which you take the medication.

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I agree to the terms above and would like my prescription renewed 

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Phone: (613) 680-1065

©2024 by Arbour Family Medicine.

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